Individual
SIMONE MATUSEVICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
302 TUTTLE RD APT 6M, WOODBURY, CT 06798-3633
(203) 568-4469
Mailing address
302 TUTTLE RD APT 6M, WOODBURY, CT 06798-3633
(203) 568-4469
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
001557
CT
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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